HomeMy WebLinkAboutBuilding Permit # 10/17/2016 AORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: `_f;°, '' Gate Receivers _!,. s` a
Date Issued: Q, - r` �szcwus�<
IMPORTANT.Applicant trust complete all iters on this page
LOCATION
Print i
PROPERTY OWNER
Punt 3
MAP NO: PARCEL; �t ZONING DISTRICT: � His,01k;District es n�
Machine Shap Village yes no
TYPE OF IMPROVEMENT PROPOSED USE i
Residential ' Non-Residential
New Building XOne family
Addition Two or more farrmily Industrial
Alteration No.of units: Commercial
Repair,replacement Assessory Bldg Others:
Demolition j Other j
SepticYel( Floodplain Wetlands Watershed District
aterlSewer
r`z.r A F-A �=6_. 5'�� V r
Identification Please` vpe or Print Clearly)
- ,
DINNER: Name: 5�s,'?'t ` EI
����� Ph� �':�3fes' -,C, / ,
AddCess:
CONTRACTOR Narlf 1 0-t t Phone. 0
04-ox-
Address: ww
}
supervisor's Construction License� - Exp. Dale:
I � t
1 Holme Improvement License. � Exp. Date-
146 I
ARCH ITECTiENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULGING PERMIT.$12.00 PER$1000.00 THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F.
:} a-; � `
Total Project Cost:$ t FEE:
Check No.: £.'I _ Receipt No.:--az-LI-7
NOTE: Persons contracting with anregistereri contractors€o not have acces�,o
the guaranty fund
Signature of Agent/OwnerS ` i �=. `�;_signature of contracto
Town of ,� 6 Andover
to
C, ver, Mass, b
qq 6C K V7`
Ll BOARD OF HEALTH
Food/Kitchen
PERMIT T ILD J Septic System
.
THIS CERTIFIES THAT...,....Rtr..... I*&#.dv* At.4A.....,'„,`Ott*...... BUILDING INSPECTOR
has permission to erect..........................buildings on ..,....... Foundation
C � �I� Rough
to be occupied as.....1. .....,... ... .......................l11lr...�....1�►'�"A1�1!....6C„ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL NSPECTOR
UNLESS CONSTRUCTION STAR�13 Rough
L Service
...... ... . ........ .................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy.Permit Required to Occupy Buildin Rough
Display in a Conspicuous Place on the Premises—Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
ACESOLAR
Batu Flom O?Npericlwe
Owner's Authorization Form
For Permit Applications
The sole purpose of this form is to provide ACE Residential Solar,LLC,dba ACE
Solar,with the necessary permission from Owner to file Permit Application(s)
for such Project work as agreed upon between the Owner and the Owner's
Authorized Company(ACE Residential Solar,LLC).
Owner's Game: Ohs
Solar Project Address: e� t1t� t G/TCS G11i
Please Sign below to grant permission for ACE Residential Solar,LLC to apply
with your local AHJ for the necessary permits to install your Solar Installation.
Owner's Signature:
Owner's Authorized Company:ACE Residential Solar,LLC
Company Address: 342 North Main St.
Andover,MA 01810
Applicable Licenses: MA HIC#182429
MA PE License:52468
NH PE License:12863
1 E.0�
OR
Project Number:U 1977-0044-161
October IQ 2016
ACE Solar
342 North Main Street
Andover,MA 01810
ATTENTION: Eric McLean
REFERENCE: Dhar Residence:15 Bucklin Road,North Andover,MA 01845
Solar Panel Installation
Dear Mr.McLean:
Per your request.we have reviewed the layout and photos relating to the installation of solar panels at the above-
referenced site.The following materials and components are proposed in the installation of the solar panels.
Roof Structure:2x 10 Rafters U 16 in O.C.
Roof Material:ConnpositefAsphalt Shingles
Based upon our review.it is our conclusion that the installation of solar panels on this existing roof will not adversely
affect the structure of this house. The design of solar panel supporting members and connections is by the
manufacturer and/or installer. The adopted building code in this jurisdiction is the Massachusetts State Building Cade,
8th Edition(2009 IBC)and ASCE 7-05. Appropriate design parameters which must be used in the design of the
supporting member and connections are listed below:
Ground snow load:50 psf per Massachusetts amendments to the IBC(verify with local building department)
Design wind speed for risk category 11 structures:100 mph(3-sce gust).
Wind exposure:Category C
Our conclusion regarding the adequacy of the existing roof is based on the fact that the additional weight related to the
solar panels is less than 35 pounds per square foot.In the area of the solar panels,no 20 psf live loads will be present.
Regarding snow loads,it is our conclusion that since the panels are slippery,effective snow=loads will be reduced in the
areas of the panels.Solar panels will be flush-mounted,parallel to and no more than 6'above the roof surface.
Regarding wind loads,we conclude that any additional forces will be negligible due to the low profile of the[lush-
mounted panel system.It is our conclusion that any additional seismic loadings related to the addition of these solar
Panels is negligible.
During design and installation,particular attention mast be paid to the maximum allowable spacing of attachments and
the location of solar panels relative to roof edges.The use of solar panel support span tables provided by the
manufacturer is allowed only where the building type,site conditions,and solar panel configuration match the
description of the span tables.Attachments to existing roofjoist or ratters must be staggered so as not to over load any
existing structural member-Waterproofing around the roof penetration is the responsibility of others. All work
performed must be to accordance with accepted industry-wide methods and applicable safety standards. Vector
Structural Engineering assumes no responsibility for improper installation of the solar panels.
Please note a representative of Vector Structural Engineering has not physically observed the roof training. Our
conclusions are based upon the assumption that all structural roof components and other supporting elements are in
good condition,free of damage and deterioration,and are sized and spaced such that they can resist standard roof loads.
Very tidy yours,
VECTOR STRUCTURAL ENGINEERING,LLC or
ROGER T ,
ALWOU TH
(;IYii ,1
_ No.Gij�R
Roger T.Al Orth,S.E. /Y '
Principal p _ ;4j4At�t
RTA/ssb 10/10/2046
9138 S.State St.,Suite 101'Sandy.UT 84070?T(801)990-1775 1 E(801)990-1776 -mow.: * :sc c-n,
The Commonwealth of Massachusetts
Department of IndustrialAceidents
1Congress street,Suite 100
Boston,IFMA 021142017
w.ww inass.govldia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. ,
TO BE FILED WITH THE PERMITTING AUTHORITY.
AnuHcantlnformation p Please Print I.euib►v
Name(Business/O;getizanondndividual):��(Z?i�iY�UlV i0.I Sb`0.� i
Address:3� o 1ts�Gtt N '
Cityl3tatcaip: - f M' �l t? Phone#:
Aso you an employer?Check the appropriate Dost - Type of project(required);
1.1nI em a employerwitlf e:nployesa(Illi aud/arp�'�oJ�: 7.❑New Construction
2.®I em a sale pmpdetaror partnership end have ao employees wmking formoin g,®Remodeling - 4
MY opacity.[No workers'comp.insurance required.} - pp--y9
3.®I am a hemeawnar doing all wroek myself:{Na workers'comp.fusureacarequired.]t 4. Q H.4molition g
10®Building addition
4,®lama homeowner and will be hiring contractors to eoaductall work on my property.swill y
angora rust all conn etors either have workers'compensation insurance or are,89W. ll.[]4 Electrical repairs or additions
proprietors with no employees. - - 12,®Plumbing repalra or additions
5 Iara a general eontrarm,and I have hired the sub•contractors listgd on the auachedslamt.
�. t l3,®Roofrepairs
These sub-conhaotora lnva employees and have warkam'comp,taemanea.
6.®We ora a corporation and Ito aftloars haveexerolsed their right of axamption per MOL e.
14.POther P11�tildir
152,§1(4),and we have no employees.[No wmkors'comp.bate nee mqu6ed.] - s
•Any uppiimat that checks boost meet also Bit out the section below showing their workers'a mpe—flo tpolicy inrbrmatiou,
t Hem."—who submit this affidavit indicating they aro doing all work and dim him outside contractors moat submit a now affidavit indicating such.
tCoamotorethat check this box must attached an additional eater showing the name of the sub-conhactuo and state whether or not those entities have
ampSeyeae,Iftha subcontractors have employe".Illy moat provide 11011workers'creep,policy number.
P am an employer that is providing workers'compensation insurance formy employees.Below is the policy and fob site
Information.
Insurance Company Name;— 'tV (l 43`11
�emo,- {d}'/ > �
Policy#or Self-ins,Lia#: G I� L F "t 3 l 3t�11 b Expiration Date: 1
'�77I �_(l tt,tt
lob Site Addres8 1., IUI Al ? CitylStatelZip:I�bl 0 P rl tvl4 JOl`6 iJ�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirati n date).
Failure to secure coverage as required under MOL o.152,§25A is a criminal violation punishable by a fine up to$1,500.00
andlor one-year imprisonment,as well as civil penalties in,the form of a STOP WORK ORDER and a free of up to$250.06 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hrwe'pgCerto er the pains and penalties ofperfury that the Information provided above is true and correct -
Sin tore ^�D r Date' 101 i't ji 10
�g /
Phone#• "! `q.q H—
Official use only.Do not write in this area,to be completed by MY or town off Tetal
City or Town: PermittLicense#
issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector
6.Other
Contact Person: Phone M.
/^�--14 ACERE-1 OP ID:KM
Aj "rte OATS(MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 09!09/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)most be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holderin 0eu of such endorsemen s.
CON
PRODUCER NATACTME: Michaud,Rowe&Ruscak
Michaud,Rowe And Ruscak Ins. PHONE 978 688 8829 11Ac Nor 976 557 2130
P.O.Box 188 AIC N EMS'
North Andover,MA 01845 ADDRESS:
(Michaud,Rowe&Ruscak INSURERIS)AFFORDING COVERAGE NMC#
aSURERA:Nautilus Insurance Co. 17370
I INSURED Ace Residential Solar LLC wsuRER a:Travelers Insurance Comp any
Mark Kiley INSURERC:Safety Insurance Company_
342 No Main St
Andover,MA 01810 INSURERu: _.._
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
IA UB - POLICY EFF POLICY RXP
ILTF TYPE OF INSU RANCE POLICY NUMBER MMND+YYYY MMIOOJVYYY'
LIMITS
iA X COMMERCIALGENERAL LIABILITY I EACH OCCURRENCE Is 1,800,88
CLAWSkaADE occuR i NN636656 i 0111912016 01119!2017 PREMISES-DANAGSTea�,nerce is 100100
MED EXP(Arri one Person) i$ 5,00
PERSONAL&ADV INJURY S 1,000,00
GENT AGGREGATE LIMIT APPLIES PER I GENERAL AGGREGATE S 2r000AO
C PRO- LOU PRODUCTS-COMPIOPAGG S 2r000r0O
POLICY JECT
S
OTHER 'COMBINEDSINGLE LM1R $ 1,000x00
AUTOMOBILE LIABILITY ! I Eaa desk
C •ANYAUTO {2706667 i 0111512016 011IW20171 BODILY INJURY{Par>xrew,) s
ALLOWNED �SCHEDULED It BODILY WJURY(Per—dwl)S
AUTOS IAUiDS __"--
'—i NONDV+NEO - I PROPERTY DAMAGE S
X HIRED AUTOS .x:AUTOS PROPERTY
;s
UMBRELLA LIAO ,OCCUR EACHOCCURRENCE iS
EXCESSLiAH AGGREGATE $
CLAIMS-MADE
DEO RETENTIONS
WORKSRS COMPENSATION ~_ t X STATUTE ERH
AND EMPLOYER&'LIABILITY YINc
B MYFTROPRIETORT—NEISEXECUTIVE SWC CERT TO FOLLOW .EL EACH ACCIDENT E
OFFICERIMEMBER EXCLUDED? �NfA DIRECTLY FROM TRAVELERS! IEL DISEASE-EA EMPLOYE S
R,..dney In NM) I t
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DEBCRIPTlON OF OPERATIONS helew
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DESCRIPTIONOFOPERATIONSILOCATIONSIVEHICLES{ACORD101,AddMonal Remm*,S NIWe maybe attechW Ifmoraspace M,m,1I d)
CERTIFICATE HOLDER CANCELLATION
NORTH13
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS,
1600 Osgood Street
North Andover,MA 01845 AUTHORIZED REPRESENTATIVES �J
O 1988.2014 ACORD CORPORATION.All rights reserved.
ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD
T® DATE{MMMD/YYYY)
ACORO CERTIFICATE OF LIABILITY INSURANCE
oszt tots
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ;
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and Conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUC_ NAMMEA T Krista McMahon _
MICHAUD,ROWE AND RUSCAK INSURANCE ASSOCIATES,INC. PRo"E .a( {978)688-8829 FA%No:
EMAIL kmern
EMAIL"DRE^. (p('?mmnSUranCe cam
P.O.BOX 188 INSURER{5)AFFOftORiG COVERAGE NALCp
NORTH ANDOVER _ MA 01845 INsuRERA:TRAVELERS INDEMNrrY CO OF AMERIOA 25666
INSURED - INSURER 8:
ACE RESIDENTIAL SOLAR LLC NSURER C:
INSURER D: '
342 NORTH MAIN ST INSURER E:
ANDOVER MA 01810 1 INSURERF:
COVERAGES CERTIFICATE NUMBER:86964 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE
INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT FO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR: TYPEOFINSURANCE ADDL 5UBRI pOUCY NUMBER MMIpCY EFF PuDNYYYJ Y£%P LIMITS
R'
I COMMERCIAL GENERALUABUTY EACHOCCURRENCE i$
'=—`
CLAMSMAGE OCCUR j PREMISES Ea occu'reriw $
E i MED EXP{Anyone
�! NIA PERSONAL S ADV INJURY `:$
IGEN'LAGGREGATE LIMITAPfPL�IES PER ' GENERALAGGREGATE E
POLICY PRO- L LOC I PRODUCTS-COMPIOPAGG $
OTHER E
I AUTOMOBILEUABIUTY Ee eBu.,GEm0i31NGLE LIMIT $
jANY AUTO BODILY INJURY(P-Pmsm)IS
ALL OWNED SCHEDULED NIA BODILY INJURY(PeraccWeMj E
AUTOS AUTOS PROPERTYOAMAGE $
HIREDAUTOS AUTOS Peraa�tlerl
$
.UMeREtLAUABI OCCUR EACHOGCURRENCE
j—E%CES$UAB CLAIMS-MADE N/A AGGREGATE 1 E
I DEO I RETENTION$ $
1WOR%ERS COMPENSATION X STATUTE ERH
ANDEMPLOYERVLIAMLIW YIN
ANYPRGPRIETOR+PARiNEW'EXECU(VE EL EACHACGoENT E 1,DO0,GO0
A OFF�ERtMEMBEREXGLUDED� NIA NIA NIA 6HU89P43435118 01/2412016,01!20!2017 EL DISEASE-EA EMPLOYEE It 1,000,000
i(Maaaawryin NRI
lr Yeess,,dasn,De u�Mer
NS beau EL0IEFA$E-POLICYLIMIT IS 1,000,000
DESCRIPTION Of OPERATSO
WA
DESCRIPTION OF OPERATIONS!LOCATION$i VEHICLES IACORD iGi,ACBitlonal ftemarka SCM1adVie,may De attached Rmors Apace le r<,a14reC)
Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay
claims for benefits to employees in states other than Massachusetts If the insured hires,or has hired those employees outside of Massachusetts.
This Certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the
issue date of this certificate of insurance). The status of this coverage Can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at www.mass.gov/lwdtworkers-compensation/investigations/.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Town of North Andover
1600 Osgood Street AUTHORIZED REPRESENTATIVE
North Andover MA 01&15 Denies M.Cr a'ey,CPCU,VICE Presdent—Residual Market—WCRIBMA
®1988.2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
Office t�� 1�z�st112ie� fl r� ���usi��ss I��e�t atzcPrl
10 Patti Plaza m Suite 51'x0
Boston,Massaec�etts 02116
-Home Improvement I
Registration
olor
4 Registration: 182329
Type:'LLC
y Expiration: 519912017 Tr# 267689
ACE RESIDENTIAL SOLAR LLC n,
ERIC McLEAN a
342 NORTH MAIN ST
ANDOVER,MA 01818
m �
r
Update Address and return card.Mark reason for change,
@At 0 20M-0.:131 - ❑Address I]Renewal 0 Employment p Lost Card
02.W.sa�uu�cec It F�t reaack aehh License o€€e is€ration valid fo€individu!use
A 4tTce of Consumer Affeirs&Best ess Regulation g only
LIME IMPROVEMENT CONTRACTOR before the expiration date.If found return to:
ogtutratian: 062429 Type: Office ofConsumer Affairs and Business Regulation
xpt€atPon 61 # LLC 10 Park Plaza e Suite 5170
Boston,MA 02116
kGE RE$3RENT3AL'}$
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BRIG McLEAN }4;�
342 NORTH MAIN GT `- .
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SYSTEM SIZE 6.08 KIN DC
ENERGY 7,487 kWh
PRODUCTION
1 2 3, 4 MODULES (QTY. 320N1
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INVERTERS (QTY. 1) 5.OKW
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675OW.MAX INPUT POWER . 48V MAX INPUT VOLTAGE
500V MAX INPUT VOLTAGE 93.75A MAX INPUT CURRENT
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CURRENT 60V MAX OUTPUT VOLTAGE
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• tz-z5 YEAR WARRANTY 8-25 OPTIMIZERS PER STRING
25 YEAR WARRANTY
DIMENSIONS TO BE FIELD VERIFIED
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3,28 NOTES:
1. RAFTER LOCATION IS
UTILITY M_TER v t ASSUMED. FIELD VERIFICATION OF
V AA AND
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PENETRATIONS REQUIRED TO
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OPTIMIZER OPTIMIZER
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#1 #11
DC OPTIMIZER DC OPTIMIZER
#2 #12
NEW Ui1LTY NET METER
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350 VRC INPUT 240V 1 PHASE CUTPUT #3 #13
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NOTE: INSTALLING ELECTRICIAN IS RESPONSIBLE FOR COMPLETING INSTALLATION AC RIG TO ALL APPLICABLE BUILDING AND ELECTRICAL CODES
ACE
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EXISTING (2x10, 16" O.C.) RAFTERS I RONRIDGE XR RAILS
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AND (1x7, 48" O.C.) COLLAR TIES
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RACKING DETAIL NUT AND BOLT
DIMENSIONS AND LOCATIONS TO BE
FLASHING �, L—FOOT
FIELD VERIFIED 3.2N"
BOLT
FLASHING
BILL OF MATERIALSMAX ALLOWABLE SPANS SEALANT
LAG 16 11' RAILS PORTRAIT N/A a.7t
BOLT0 14` RAILS PORTRAIT N/A
2 17' RAILS CANTILEVER LAG BOLT
EXISTING 59 FLASHING ANDSCAPE 6'-11"
RAFTER LANDSCAPE 2'-9"
CANTILEVER EXISTING RAPPER
FLASHING DETAIL LAG BOLT DETAIL
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